Individual provider · Type 1 NPI

De'ron Hackler

Rehabilitation Practitioner · San Diego, CA

NPI number 1225612922 Active

Practice location

3132 Jefferson St
San Diego, CA 92110-4421

Call (619) 683-3100 Map

Mailing address

1400 13th St Apt 216
Imperial Beach, CA 91932-3721

Other practice locations

  • 892 27th St, San Diego, CA 92154-1444 · (619) 575-4687

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1225612922

De'ron Hackler's National Provider Identifier is 1225612922, issued on May 9, 2021. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in San Diego, CA. The record was last updated on Jun 28, 2024.